Single dose. 75-79 routine since Sept 2024. From 1 April 2026: expanded to ≥80 with NO upper age limit + all residents in care homes for older adults (regardless of age). Co-administration with COVID-19 spring 2026 campaign permitted.
2 doses Shingrix (0, then 2-6 months; up to 12 months). Phased age expansion (65 and 70 cohorts) toward routine 60-80 over time. Replaced Zostavax (live) — Shingrix non-live.
At-risk groups: PPV23 (revaccination every 5 years only for asplenia/CKD/immunosuppressed). Occupational: welders + metal-fume exposure now an at-risk indication (JCVI).
Annual flu vaccine for pregnant women (any stage), clinical risk groups, carers, and frontline health/social care workers (occupational — employer-provided).
Seasonal boosters per JCVI advice each campaign (cohorts vary by season — typically 75+, immunosuppressed, older-adult care home residents). NOT universal.
Single dose from 16 weeks gestation (ideally before 32 weeks) every pregnancy — infant protection. NOTE: pregnancy is the main UK adult pertussis indication (no routine non-pregnant adult Tdap).
UK uses Td/IPV (Revaxis) for adult boosters — NOT US-style Tdap. 5 doses confer lifelong protection. Boosters for tetanus-prone wounds or incomplete history; teenage booster at 14 (school Year 9).
2 doses (≥1 month apart) for any adult without documented 2 doses or immunity. Occupational priority: healthcare/laboratory + education staff. UK measles resurgence — active catch-up.
SINGLE dose (UK moved from 2 doses to 1 dose, Sept 2023) for immunocompetent under 25. Routine school Year 8 (12-13); catch-up to 25th birthday if eligible and missed.
2 doses for non-immune (seronegative) healthcare workers + non-immune close contacts of immunocompromised patients. Live vaccine — contraindicated in pregnancy/immunosuppression.
COSHH 2002 (biological agents) + Green Book Chapter 12 (immunisation of healthcare and laboratory staff) + employer duty
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